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CAMPER INFORMATION – ONE CAMPER PER FORM PLEASE

NAME AGE

SEX

T-SHIRT SIZE: YOUTH or ADULT S M L XL

! " " #$

! " " #

CAMP SELECTION –Mark the desired camp DATES TIMES %& $$ ' $) ' $*+** $ +** %& $, '

AUTHORIZED PERSON’S TO PICK-UP CAMPER: NAME NAME

ADDITIONAL INSTRUCTIONS

In case of inclement weather, all outside activities will be cancelled and participating campers may be sent home if indoor facilities are not available In this event, parents may elect to have their child attend a single day of any remaining camps offered; however, if campers are unable to attend future camps or no future camps are available, REFUNDS WILL NOT BE MADE AVAILABLE

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